急诊286例输尿管结石分析

Emergency diagnosis and analysis of ureteral caliculi

目的提高输尿管结石的急诊诊断水平。方法对286例输尿管结石伴腰腹部疼痛患者的急诊诊断方法进行回顾性分析。结果本组患者临床症状与体格检查定性诊断率为70.6%(202例),均行急诊B超检查,定位准确率71.3%(204例);查卧位腹平片165例,定位准确率62.4%(103例);查泌尿系CT结石重建98例,定位准确率96.9%(95例),综合症状、查体及辅助检查定位诊断准确率为89.5%(256例)。结论输尿管结石是泌尿外科急诊的常见多发病,急诊诊断需要主观症状、查体并结合多种辅助检查综合考虑。

Objective To upgrade the diagnosis effciency of ureteral caliculi.Methods 286patients with renal colic were emergency diagnosed and analysed retrospectively.Results 256of 286patients（89.5%）were diagnosed ureteral caliculi with caliculi location.The diagnositic veracity of clinical symptom and physical analysis,B-ultrasonic,KUB,and CT were 70.6%,71.3%,62.4% and 96.9% respectively.Conclusion Urteral caliculi with renal colic is a common emergency in the emergency department,it should be diagnosed exactly with the combination of symptoms and other imaging tools.